National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/19/2021 release of VAERS data:

This is VAERS ID 912996

Government Disclaimer on use of this data



Case Details

VAERS ID: 912996 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2020-12-20
Onset:2020-12-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anaphylactic reaction, Cough, Dizziness, Pharyngeal paraesthesia, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Influenza - anaphylaxis
Other Medications: None - EpiPen and Albuterol for emergency
Current Illness: no
Preexisting Conditions: cialic disease
Allergies: anaphylactic to flu vaccine and to strong scents like perfumes and soaps. Eggs and shellfish allergy
Diagnostic Lab Data: No tests, via IV some steroids and histamine blocker and an albuterol nebulizer treatment and epinephrine
CDC Split Type: vsafe

Write-up: Wheezing, throat tingling and anaphylaxis, dizzy, mostly the breathing. I was coughing nonstop


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=912996


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166